YIELD OF THE SCREENING REVIEW OF SYSTEMS - A STUDY ON A GENERAL MEDICAL-SERVICE

被引：5

作者：

MITCHELL, TL ^{[1
]}

TORNELLI, JL ^{[1
]}

FISHER, TD ^{[1
]}

BLACKWELL, TA ^{[1
]}

MOORMAN, JR ^{[1
]}

机构：

[1] UNIV TEXAS,MED BRANCH,DEPT INTERNAL MED,GALVESTON,TX 77550

来源：

JOURNAL OF GENERAL INTERNAL MEDICINE | 1992年 / 7卷 / 04期

关键词：

SCREENING; ADMISSION; REVIEW OF SYSTEMS; CARDIOPULMONARY; GASTROINTESTINAL;

D O I：

10.1007/BF02599154

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Study objective: To determine the usefulness of screening reviews of the cardiopulmonary and gastrointestinal systems during medical admissions. Design: Case series. Setting: General internal medicine ward of a university hospital. Patients: 550 consecutive medical patients were initially screened at admission. The authors excluded 265 patients with life-limiting medical conditions, and they studied 98 patients with no known cardiopulmonary disease and 207 patients with no known gastrointestinal disease. Interventions: Positive responses to screening systems review questions were evaluated using a standardized testing algorithm. Main outcome measures: Numbers of new diagnoses; potential for patient benefit. Main results: The authors made 26 new diagnoses for 25 patients (95% confidence limits, 16 to 37 patients), two of whom may have gained years of life as a result. Conclusions: The absolute yield of the screening cardiopulmonary and gastrointestinal reviews of systems of 550 patients admitted to an internal medicine service of a university hospital was a new diagnosis in about 5% of patients. An estimate of the cost-effectiveness compares favourably with those of other accepted screening practices.

引用

页码：393 / 397

页数：5

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